Sumit Patel (NPI# 1851786925, PAC ID# 0345596979) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1851786925 |
| PAC ID by PECOS | 0345596979 |
| Professional Enrollment ID | I20181023000994 |
| Full Name | Sumit Patel |
| Organization Legal Name | JAX EMERGENCY PHYSICIANS, LLC |
| Address |
2361 N Semoran Blvd Orlando FL 32807-3714 |
| Phone Number | 4073596010 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1951682293 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110164 | COLISEUM MEDICAL CENTERS, LLC, DBA |
| 110125 | FAIRVIEW PARK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2361 N Semoran Blvd, Orlando, FL 32807-3714 | 4073596010 | JAX EMERGENCY PHYSICIANS, LLC |
| Organization Legal Name | JAX EMERGENCY PHYSICIANS, LLC |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Habib H Karkavandian | Emergency Medicine | Jax Emergency Physicians, LLC | 8300 Red Bud Lake Rd, Oviedo, FL 32765-6801 |
| Charles C Eaves Jr. | Emergency Medicine | Jax Emergency Physicians, LLC | 2361 N Semoran Blvd, Orlando, FL 32807-3714 |
| Andres J Torres | Emergency Medicine | Jax Emergency Physicians, LLC | 8300 Red Bud Lake Rd, Oviedo, FL 32765-6801 |
| Latha Ganti | Emergency Medicine | Jax Emergency Physicians, LLC | 8300 Red Bud Lake Rd, Oviedo, FL 32765-6801 |
| Ingrid D Carter | Emergency Medicine | Jax Emergency Physicians, LLC | 8300 Red Bud Lake Rd, Oviedo, FL 32765-6801 |
| Carlton C Hamilton Ii | Emergency Medicine | Jax Emergency Physicians, LLC | 8300 Red Bud Lake Rd, Oviedo, FL 32765-6801 |
| Sarmed Al-haddad | Emergency Medicine | Jax Emergency Physicians, LLC | 8300 Red Bud Lake Rd, Oviedo, FL 32765-6801 |
| Adner Pazo | Emergency Medicine | Jax Emergency Physicians, LLC | 8300 Red Bud Lake Rd, Oviedo, FL 32765-6801 |
| Stephanie Bermudez Rivera | Emergency Medicine | Jax Emergency Physicians, LLC | 8300 Red Bud Lake Rd, Oviedo, FL 32765-6801 |
| Paul H Hamilton | Emergency Medicine | Jax Emergency Physicians, LLC | 8300 Red Bud Lake Rd, Oviedo, FL 32765-6801 |
| Street Address |
2361 N SEMORAN BLVD |
| City | ORLANDO |
| State | FL |
| Zip | 32807-3714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles C Eaves Jr. | Emergency Medicine | Jax Emergency Physicians, LLC | 2361 N Semoran Blvd, Orlando, FL 32807-3714 |
| Ravishankar Channappa | Internal Medicine | Jax Emergency Physicians, LLC | 2361 N Semoran Blvd, Orlando, FL 32807-3714 |
| John W Conboy | Emergency Medicine | Jax Emergency Physicians, LLC | 2361 N Semoran Blvd, Orlando, FL 32807-3714 |
| Mary Anne L Kolar | Emergency Medicine | Jax Emergency Physicians, LLC | 2361 N Semoran Blvd, Orlando, FL 32807-3714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlene L Alford-mercier | Diagnostic Radiology | Elite Imaging LLC | 1150 S Semoran Blvd, Suite D, Orlando, FL 32807-1424 |
| Donald W Durrance | Diagnostic Radiology | Elite Imaging LLC | 1150 S Semoran Blvd, Suite D, Orlando, FL 32807-1424 |
| Jose A Pizarro | Diagnostic Radiology | Elite Imaging LLC | 1150 S Semoran Blvd, Suite D, Orlando, FL 32807-1424 |
| Yolanda Cubero | General Practice | Orlando Family Physicians LLC | 1130 S Semoran Blvd, Orlando, FL 32807-1457 |
| Anthony Tam Huynh | Optometry | 1130 S Semoran Blvd, Suite F, Orlando, FL 32807-1457 | |
| Enrique R Martinez-lugo | General Practice | Orlando Family Physicians LLC | 1130 S Semoran Blvd, Orlando, FL 32807-1457 |
| Marilyn Rodriguez | General Practice | Orlando Family Physicians LLC | 1130 S Semoran Blvd, Orlando, FL 32807-1457 |
| Teresita Henao | Nurse Practitioner | Orlando Family Physicians LLC | 1130 S Semoran Blvd, Orlando, FL 32807-1457 |
| Rosa Pacheco | Family Medicine | Orlando Family Physicians LLC | 1130 S Semoran Blvd, Orlando, FL 32807-1457 |
| Irelis Rodriguez Castro | General Practice | Orlando Family Physicians LLC | 1130 S Semoran Blvd, Orlando, FL 32807-1457 |
| Find all physicians in zip 32807 | |||
| City | ORLANDO |
| Zip Code | 32807 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | ORLANDO + EMERGENCY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.